Wyoming County, NY · Wyoming County

No notary required

Short Environmental Assessment Form

Project applicants or sponsors complete Part 1 of this form to provide information for review of a proposed action seeking approval or funding.

At a glance

Issued by
City of Wyoming County · Wyoming County, Wyoming County, New York
Notarization
Not required: file this form without a notary.
Official source
wyomingcountyny.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

The form gathers project and sponsor details, site information, and answers about potential environmental effects. The applicant or sponsor completes Part 1 for an application for approval or funding; the lead agency completes Part 2 and, when needed, Part 3 to explain its impact determination.

Who needs it

An applicant or project sponsor seeking approval or funding for a proposed action completes Part 1; the lead agency completes the review sections.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; the applicant or sponsor certifies the information, and no notarized attachment or related step is specified.

How to submit this form

  1. 1

    Download the Form

    Download the Short Environmental Assessment Form PDF.

  2. 2

    Complete Part 1

    The applicant or sponsor fills in project and sponsor details and answers the environmental questions using currently available information.

  3. 3

    Gather Supporting Information

    Attach a location map and any additional pages needed to supplement responses.

  4. 4

    Submit for Review

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Who completes the Short Environmental Assessment Form?
The applicant or project sponsor completes Part 1. The lead agency completes Part 2 and, if needed, Part 3 to explain its determination.
What information does the form request?
Part 1 asks for project and sponsor details, site acreage and land uses, and information about environmental features and possible effects.
Do I need a notary for the Short Environmental Assessment Form?
No. The applicant or sponsor signs and dates the certification without a notary; the form specifies no notarized attachment or related step.
How do I submit the Short Environmental Assessment Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Short Environmental Assessment Form doesn’t need a notary, but if you have another Wyoming County form that does, a commissioned online notary can help.